Market Chief Medical Officer (CMO) - Arizona/New Mexico

UnitedHealth Group•Tucson, AZ

1d•$292,300 - $438,500•Hybrid

About The Position

Optum is seeking a Market Chief Medical Officer (CMO) to lead their team in Arizona and New Mexico. This role is a physician dyad partner to the COO and market CEO, serving as the most senior physician/clinical leader for employed clinical practices, IPA practices, and external stakeholders (payers, IPA providers, hospitals, etc.). The CMO will be the clinical representative to the regional affordability JOC, regional leadership meetings, and applicable national committees, setting the clinical vision and strategy for the market in association with all appropriate stakeholders. Optum is a clinician-led care organization focused on integrated health programs across the continuum of care.

Requirements

M.D. or D.O.
Completion of an accredited medical residency program
Board Certified in an accredited medical or surgical specialty
Active and unrestricted Arizona or New Mexico medical license; or ability to obtain prior to start date
Current and unrestricted DEA certificate or ability to obtain prior to start date
5+ years of clinical practice experience
5+ years of experience in a physician leadership role
Knowledge of managed care, including utilization, care management, quality, credentialing, and peer review
Advanced knowledge of Medicare and Medicaid plan design and coverage criteria
Proven solid leadership skills including to manage multiple teams and create a solid collaborative culture
Proven ability to work in a matrixed environment
Proven flexible and able to quickly customize the conversation with contracted groups at various stages of population health development
Proven well versed in guiding conversations with clinicians, operations teams, and executive leadership in various organizations
Proven track record of working well with Physicians, APRN, Physician Assistants, Coders, Schedulers, Managers, Directors, and Executives to assure care delivery is patient centered, timely, effective, and evidence-based approach to clinical care across all Primary Care and specialty care participants
Proven ability to identify, plan, and operationalize complex programs to further the needs of care delivery organization working with appropriate stakeholders (e.g., HCE, finance, and operations)

Nice To Haves

Master’s degree in business administration, Medical Management, or equivalent
2+ years of experience in a Senior Medical Director role, or equivalent title

Responsibilities

Supervises all clinical leaders in the Arizona and New Mexico market(s) (Employed and IPA).
Sets and implements clear standards and expectations for professional performance of providers to achieve excellence in patient satisfaction, quality of care, and cost-effective care.
Serves as the leader for all peer review and physician performance management.
Ensures clinical and financial performance of employed clinics in partnership with market president and operations leaders.
Works in close collaboration with employed clinic operations leaders and IPA network management.
Develops external partnerships and assists in contract development and terms (e.g., VBC contracting, capitated contracting, FFS rates, etc.) in close partnership with Contracting leadership.
Works with the physician community on patient issues, balancing business and clinical concerns.
Is the primary owner of Total Cost of Care (Affordability) performance for all risk contracts in collaboration with the regional Affordability team, including operational ownership and management of vendors.
Is the primary owner of performance of accurate documentation in collaboration with the regional population health team.
Serves as the primary market physician leader to ensure implementation and execution of regional shared services under the regional OCMO structure (Clinical Excellence, Clinical Informatics, Clinical Health and Safety).
Supervises and manages appropriate business as deemed appropriate under the clinical structure (e.g., Pharmacy fulfillment, DME, Hospice and Palliative Division, Home Health in NV market).
May supervise and/or manage other departments and functions as deemed appropriate by market president and/or regional and national leadership.
Is the primary physician leader representative to regional and national leadership structures and committees.